Permit CITY OF TIGARD
` ' COMMUNITY DEVELOPMENT MECHANICAL PERMIT
PERMIT #: MEC2007 -00700
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/30/2007
PARCEL: 2S114BD -02900
SITE ADDRESS: 09600 SW RIVERWOOD LN ZONING: R -7
SUBDIVISION: COPPER CREEK STAGE 3 LOT: 069 JURISDICTION: TIG
PROJECT: COUNTS
Project Description: Gas line extension.
Water heater flue vent.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
COUNTS, CHRIS D + Description Date Amount
HOGBERG- COUNTS, LINDA
9600 SW RIVERWOOD LN [MECH] Permit Fee 11/30/200 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcha 11/30/20C $5.80
Phone: 503- 639 -5039
Total $78.30
Contractor:
GEORGE MORLAN PLUMBING
2222 NW RALEIGH
PORTLAND, OR 97210 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 274 -1444
FAX 503- 265 -0538
Reg #: LIC 2734
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By:
c ei.d.. 14:/ de ZZid ..) Permittee Signature: Jl'yf a 1 ��7 . C
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• ' MAR-27-1996 07:05 P.01/01
' reITELIT apaucanon i id.; i d 1 ii I
City of Tigard
ES
13125 SW Hall Blvd, Tigard, OR 972211E,CE DItelli. Yi /2441 7 134 Penaill1/419116C-r342°1"-42274°
Phone: 503.639.4171 Frac 503.598.1 " 9 9 rubl ,,
Inspection Line: 303.639.4175 n aRedy/
y: -
Internet; www.tigard-or.gov NU V 1.. „ ,,,,o aH
? "W‘ni''' NottfuxVivlethuti Other Pans*:
Insp
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lwirjr SI See Pege 2 far
Supplemental Intbrmation
GM ° VISO
- --
MINEEEME=.1.0in'arlit. g: ' ..,_
El New cnnstruetion tddition/alt.ration/replaeument Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) orall
CI Danolition Other: meclmnical material% cquipmen; labor, overhead, and profit
V • $
: : : • ' . ;•.. .: ,, If .: :*'.V:i;i;i: 13 ;i44Z7 , 77,77, 1 771 2 . , ,,7177;737, MaRRIMENI1 ....,. .., _ .i.:._„......,..!' . ..... . ,.: .,_„.. ..
le. . ...
.:;:l..:*Eitimploos.opuLkwe.**.ovgwolow..::.L...;
and 2-family dwelling 0 Commervial/industrial 0 Accessory building
For special Information use checklist.
El Multi 0 Master builder 0 Other:
Deamiption I Qty, I Ea. I Total
a '. .:: ::: ..,::: v_kt.1 r ,I;7
I r 7,77 u-..,..-1
i: ...0.- •:! tara'A -----weoolintl
Job site address; ? 4'00 ; cy V // I/br i la 0 Z 1 t / Air oanditioning or heat pump
(requires site plan showing placement) 14.00
City/Stale/ZIP; 77 /44/0 .• /2 -- 7Z2‘. _Pumice in__ 0 0 dualivents) 14.00
, Furnace 100.000+ BTU (duets/yenta) 17.90
Suite/bldg/apt. no.; Frojcor name:
______ Gas heat.pansp 14.00
Cross street/directions to job bite: Duct work - 14.00
Hydronic hot water system 14.00
Residential boiler (mdiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duet, suspended, etc. 10.00
-
Flut/vent for any of above 10.00
Subdivision: Lot no.:
...- Other: 10.00, -....
Tax map/parcel no..
Other fuel appliances
i• .::::!..: - ,';:i. , E:Pi'i: .1-: 07!,";t :i . ' il ; :!.;:':':,LiL .. '6.thrnalaanni Water hcilIcr 10.00
Gas fireplace 10.00
6 GIA/‘ e - )C 2 Ott/ Flue vent for water heater or gas •
...;,
/I /-u fin:pt.. moo /0
- - Log lighter (pas) 10.00
Wood/pellet stove 10.00
wood *enlace/insert 10.00
Chio•_milinerlflueivent 10.00
IMMEZ$ - omen - I 10.00 - I
Name: aie / at . Arrs EnvirOnnten Militant litant aad ventilation
- a
- -.--
- -
Address: --. kv znloje 4o/ Range hood/other kitchen
,______
City/State/ZIP: 77 6M2.4 / OA' 9172,141 clothes dryer exhaust 10,00
Single-duct ahead (bathrooms,
Fh(tlic: (.5 6341 -5237 Fax: ( ) toilet cOMparttllittla, utility rooms) , 6.140
: :2;n7o. M=5110 Altiderawhipace fans
^ 10.00
Other 10 00
%aims name: az .,60 / 46/ ,z overv , v , 6 . ___;....---_,---:-_____
Fuel plying
Contact name. iJ1C /5 55.40 for Best four; 31.00 for each additional .
Address: g /viv ‘,44e7arif sr. Varna= atc.
- Con heat mime
City/Slate/ZIP; Pe2/2,..r447/40 z 4 0/1... 974/0 Wall/suspended/unit heater
Phone ( P 3 ) 2 7 4 . 1 Fax; : ( 0.3) I45 a538 Water heater '5 " - I -
le i_ra 112c2
I3-mail: ---
Runge
:': .-: .. F I :. .• : : . :1 .:. : ': q: ..' ' QiiL- .t ..,'.':' Barbecue
Business name: . ,,, ; .-- a geve we ,, e4 , 6 „,/ "i t ,, , , verizz , Clothes dryer (gas)
_
r-- Other:
Address:
3 '.i.;'.11 i:':•*60447-4(0480,4701014","7-:"'.": '.. : . i i V: . '' 7. .'i': : .;;:..
. .
' Ciry/State/Z1P:
-. Subtotal' / 5
I Phone: ( I Fax ( ) Minimum permit fee ($12.50) n . 5z)
,__,...
.. Plan review (25% of permit fee)
• CCEt lie.: raPZ )3 9 6 -16 _
.._) ___________
_ state sweharge (8% of it fee) • If&
-
TOTAL PERMIT FEE 7,r, 3.:.•
Authorized signature: This penult applleaUeo ripire4 If • permit Is net alsbdued withal 1 tto
days after It hem ticem *meow ii. complete.
Print llama.
•L/ ".'--. /49°144-174.
/// -7-I i Foa methodology sot by Tri-County Building inane Service Board
TOTAL P.01
CITY OF TIGARD
•
BUILDING, DIVISION PERMIT #: 11fif =C 2007 00700
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: f (/30/2007
Phone: (503) 639 -4171 —,/%
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 1/16/2008 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 09600 SW RI VERWOOD LN CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 3 LOT #: 069 TYPE OF USE:
PROJECT NAME: COUNTS
DESCRIPTION: ( line extension.
Water heater flue vent.
OWNER: COUNTS, CHRIS D +, PHONE #: 503.G39 -5039
CONTRACTOR: GEORGE MORLAN PLUMBING PHONE #: 503.274-1444
Inspection Request Scheduled For: Date: 1/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 063200 -01 503-274-1444 Y
Corrections /Comments /Instructions:
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
111 FAIL d CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /--/ — c4 8 Phone #: (503) 718-
CITY"OPTIGARD
BUILDING DIVISION PERMIT #: MEC2007-00700
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I I �
INSPECTION WORKSHEET FOR DATE: 12/5/200 TIME: 7:01AM PAGE: 67
SITE ADDRESS: 09600 SW RIVERWOOD LN CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 3 LOT #: 069 TYPE OF USE:
PROJECT NAME: COUNTS
DESCRIPTION: Gas line extension.
Water heater flue vent.
OWNER: COUNTS, CHRIS D +, PHONE #: 503. 639-5039
CONTRACTOR: GEORGE MORLAN PLUMt3ING PHONE #: 503
Inspection Request Scheduled For: Date: •1202007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 060736-01 503 - 2741444 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1/ Date: / -- C Phone #: (503) 718-